Chapter 57-59 PrepU (GI)
When considering the tendency of antiemetic agents to cross the placenta, which assessment question should the nurse initially ask every childbearing aged woman before initiating the therapy?
"Are you pregnant?"
A female client has GERD and is taking cimetidine. She continues to have gastric discomfort and asks whether she can take an antacid. Which is an appropriate response by the nurse?
"Yes, but be sure to wait at least 2 hours to take the antacid after you take the cimetidine."
The nurse should warn a client taking aluminum- and calcium-containing antacids about which adverse effects?
Constipation
Carter, age 2, is diagnosed with cystic fibrosis; the physician places him on pancrelipase. What would be the most appropriate diagnosis for Carter related to his medication regimen?
Imbalanced nutrition: less than body requirements, related to impaired digestion secondary to insufficient pancreatic enzymes
In pharmacology class the students are learning about the mechanism of action of different laxatives. What would the students learn about the mechanism of action of psyllium hydrophilic mucilloid?
Increasing mass and water content of stool
The nurse should explain that metoclopramide (Reglan) decreases nausea and vomiting by which of the following actions?
Inhibiting stimulation of the vomiting center in the brain
A hospitalized toddler has been prescribed an antiemetic. The nurse will implement which intervention based on the child's unique needs?
Monitoring for electrolyte imbalances
A client has been told that stimulation of their chemoreceptor trigger zone (CTZ) is responsible for their current symptoms. What nursing action indicates that the nurse is aware of the role of the CTZ?
Planning care to manage the client's nausea and vomiting
Aprepitant (Emend) is the prototype of which class of antiemetic medications?
Substance P/neurokinin 1 antagonist
Which would be most important to include when teaching a patient about using psyllium?
Taking the agent with a large amount of water
A client is taking psyllium hydrophilic mucilloid daily. What information should be included in the discharge plan?
Up to 30 g of fluid with the medication can be divided over several divided doses daily.
The nursing instructor is teaching students about proper administration of sucralfate. According to the instructor, sucralfate should be administered:
an hour before meals.
An older adult client has been on long-term proton pump inhibitor (PPI) therapy. The nurse practitioner should focus on what assessment related to adverse effects?
bone density
Metoclopramide is classified as a nonphenothiazine antiemetic.
true
